Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.16 / $98.59 / $254.08	Facility	26	$83.16	$98.59	$254.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.01 / $425.00 / $889.87	Professional		$263.01	$425.00	$889.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $99.35 / $284.89	Professional	26	$62.50	$99.35	$284.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $193.07 / $340.00 / $783.89	Professional	TC	$193.07	$340.00	$783.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $189.80 / $394.82	Professional		$163.01	$189.80	$394.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.22 / $71.81 / $101.80	Professional	26	$45.22	$71.81	$101.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.57 / $425.00 / $774.48	Professional		$213.57	$425.00	$774.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.11 / $74.41 / $156.27	Professional	26	$54.11	$74.41	$156.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.44 / $308.77 / $677.40	Professional	TC	$159.44	$308.77	$677.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.37 / $570.86 / $1,055.39	Professional		$280.37	$570.86	$1,055.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $96.11 / $171.62	Professional	26	$54.86	$96.11	$171.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.15 / $465.03 / $937.82	Professional	TC	$225.15	$465.03	$937.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $425.32 / $1,552.93	Professional		$233.93	$425.32	$1,552.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $60.31 / $92.81 / $211.53	Professional	26	$60.31	$92.81	$211.53
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $173.61 / $315.66 / $1,393.63	Professional	TC	$173.61	$315.66	$1,393.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $227.36 / $392.15	Professional		$78.29	$227.36	$392.15
United Facility/Professional Professional Modifier Low / Median / High Price $238.81 / $466.58 / $767.70	Professional		$238.81	$466.58	$767.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.28 / $76.34 / $131.44	Professional	26	$54.28	$76.34	$131.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.31 / $376.78 / $740.76	Professional	TC	$184.31	$376.78	$740.76